Provider Demographics
NPI:1245233972
Name:BROWN, STEVEN L (AUD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:L
Last Name:BROWN
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 S MOUNT AUBURN RD
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63703-4918
Mailing Address - Country:US
Mailing Address - Phone:573-651-3404
Mailing Address - Fax:573-651-0035
Practice Address - Street 1:262 S MOUNT AUBURN RD
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703-4918
Practice Address - Country:US
Practice Address - Phone:573-651-3404
Practice Address - Fax:573-651-0035
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01168231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist